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At’kova E.L.

Scientific Research Institute of Eye Diseases, Moscow, Russia

Yartsev V.D.

Scientific Research Institute of Eye Diseases, Moscow, Russia

Krakhovetskiĭ N.N.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Root A.O.

FGBU "NII glaznykh bolezneĭ" RAMN

Comparative analysis of the results of balloon dacryoplasty for stenoses at different levels of the vertical portion of lacrimal pathways

Authors:

At’kova E.L., Yartsev V.D., Krakhovetskiĭ N.N., Root A.O.

More about the authors

Journal: Russian Annals of Ophthalmology. 2015;131(4): 66‑73

DOI: 10.17116/oftalma2015131466-72

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To cite this article:

At’kova EL, Yartsev VD, Krakhovetskiĭ NN, Root AO. Comparative analysis of the results of balloon dacryoplasty for stenoses at different levels of the vertical portion of lacrimal pathways. Russian Annals of Ophthalmology. 2015;131(4):66‑73. (In Russ.)
https://doi.org/10.17116/oftalma2015131466-72

Подписка 2025 (Russian Annals of Ophthalmology)
 
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Aim — to compare the effectiveness of balloon dacryoplasty (DCP) for stenoses at different levels of the vertical portion of lacrimal pathways and to establish the necessity of consequent intubation. Material and methods. A total of 120 clinical cases in 85 patients (66 females and 19 males with the mean age of 53.61±11.82 years) have been analyzed. Patients with cervical stenosis of the lacrimal sac constituted two groups: group 1 (19 patients, 30 balloon DCP surgeries) and group 2 (22 patients, 30 balloon DCP surgeries with Ritleng intubation). Two other groups consisted of patients with nasolacrimal orifice stenosis: group 3 (21 patients, 30 balloon DCP surgeries) and group 4 (23 patients, 30 balloon DCP surgeries with Ritleng intubation). Besides routine examinations, the assessment included collection of Munk’s scores for epiphora, evaluation of health-related quality of life, lacrimal meniscometry, lacrimal scintigraphy, contrast enhanced multi-slice spiral computed tomography of lacrimal pathways, and single-photon emission computed tomography. The follow-up period was 6 months. Results. In group 1 a complete recovery was achieved in 18 (60.00%) cases, improvement — in 9 (30.00%) cases, while a relapse occurred in 3 (3.00%) cases; in group 2, there were 18 (60.00%) recoveries, 10 (33.33%) improvements, and 2 (6.67%) relapses; in group 3 — 12 (40.00%) recoveries, 5 (16.66%) improvements, and 13 (43.34%) relapses; in group 4 — 19 (63.33%) recoveries, 8 (26.67%) improvements, and 3 (10.00%) relapses. Conclusion. Balloon dacryoplasty is effective in restoring patency of occluded lacrimal pathways. Success rate is higher in cervical stenoses of the lacrimal sac than in nasolacrimal orifice stenoses. Ritleng intubation after balloon DCP favors better outcomes in patients with nasolacrimal orifice stenosis.

Keywords:

lacrimal pathways
nasolacrimal duct obstruction
intubation
balloon dacryoplasty

Authors:

At’kova E.L.

Scientific Research Institute of Eye Diseases, Moscow, Russia

Yartsev V.D.

Scientific Research Institute of Eye Diseases, Moscow, Russia

Krakhovetskiĭ N.N.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Root A.O.

FGBU "NII glaznykh bolezneĭ" RAMN

List of references:

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  2. Brewis C, Yung M, Merkonidis C, Hardman-Lea S. Endoscopic dacryocystorhinostomy in functional lacrimal obstruction. The Journal of Laryngology & Otology. 2007;122(9). doi:10.1017/s0022215107001107
  3. Janssen A, Mansour K, Krabbe G, van der Veen S, Helder A. Dacryocystoplasty: treatment of epiphora by means of balloon dilation of the obstructed nasolacrimal duct system. Radiology. 1994;193(2):453-456. doi:10.1148/radiology.193.2.7972762
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  5. Song H, Ahn H, Park C, Kwon S, Kim C, Choi K. Complete obstruction of the nasolacrimal system. Part I. Treatment with balloon dilation. Radiology. 1993;186(2):367-371. doi:10.1148/radiology.186.2.8421736
  6. At'kova E, Iartsev V, Krakhovetskiĭ N, Root A. Minimally invasive surgery for dacryostenosis: modern trends. Vestnik oftalmologii. 2014;130(6):89-97. (In Russ.)
  7. Shkolnik S. Alternative way of lacrimal pathways draining. Rossiiskaya rinologiya. 2011;2:63. (In Russ.)
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  9. At'kova E, Fedorov A, Reznikova L, Krakhovetskiĭ N, Iartsev V. Five-year application experience of cytological method in dacryological practice. Vestnik oftalmologii. 2013;129(5):104-112. (In Russ.)
  10. Munk P, Lin D, Morris D. Epiphora: treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus. Radiology. 1990;177(3):687-690. doi:10.1148/radiology.177.3.2243969
  11. Ali M, Naik M. Efficacy of endoscopic guided anterograde 3mm balloon dacryoplasty with silicone intubation in treatment of acquired partial nasolacrimal duct obstruction in adults. Saudi Journal of Ophthalmology. 2014;28(1):40-43.doi:10.1016/j.sjopt.2013.12.004
  12. Kumar EN. Technical note: non-surgical treatment of epiphora by balloon dacyroplasty - the technique. British Institute of Radiology. 1995;68:1116-1118.
  13. Janssen A, Mansour K, Krabbe G, van der Veen S, Helder A. Dacryocystoplasty: treatment of epiphora by means of balloon dilation of the obstructed nasolacrimal duct system. Radiology. 1994;193(2):453-456. doi:10.1148/radiology.193.2.7972762
  14. Perry J, Maus M, Nowinski T, Penne R. Balloon catheter dilation for treatment of adults with partial nasolacrimal duct obstruction: a preliminary report. American Journal of Ophthalmology. 1998;126(6):811-816. doi:10.1016/s0002-9394(98)00278-5
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